Condition category
Not Applicable
Date applied
16/11/2011
Date assigned
05/12/2011
Last edited
18/01/2012
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims?
Stanford University is conducting a research study in Zambia's Southern Province to evaluate how well contracting the management of Ministry of Health vehicles and motorcycles to the NGO Riders for Health will work. The goal of the study is to assess the impact that reliable transportation can have on health, and the cost-effectiveness of such transportation. The learnings of this study can inform health officials, global health policy makers and funders about the costs and ultimate health benefits of investing in reliable transportation.

Who can participate?
This study does not directly involve human subjects/participants. Our target population is motorcycles and vehicles used for health delivery.

What does the study involve?
Eight districts in the Southern Province of Zambia are included in the study. Districts are randomly assigned as follows: four districts are experimental groups that are receiving an intervention (i.e., receive the Riders program), and four districts are control groups. The Riders intervention in the four experimental districts will be the "Transport Asset Management (TAM)" program. These districts receive vehicles and motorcycles as well as maintenance and repair services.

What are the possible benefits and risks of participating?
There are no risks to participants as the study does not involve patients but health technicians and transport managers.

Where is the study run from?
The study is run by the Socially and Environmentally Supply Chains Program at Stanford University's Global Supply Chain Management Forum, which is based at the University's Graduate School of Business.

When did the study start and how long is it expected to run for?
Baseline data collection began on August 1, 2011 and the study is expected to continue through summer 2013.

Who is funding the study?
The study is funded by the Bill and Melinda Gates Foundation, Seattle, WA, USA.

Who is the main contact?
Sonali Rammohan
rammohan_sonali@gsb.stanford.edu

Trial website

Contact information

Type

Scientific

Primary contact

Dr Lesley Sept

ORCID ID

Contact details

Stanford University
655 Knight Way
Stanford
94305
United States of America

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Riders for Health’s demonstration of effectiveness and efficiency of contracting out vehicle fleet management for health delivery: a randomised controlled study

Acronym

Study hypothesis

1. To what extent do Riders for Health's models result in improved vehicle fleet management?
2. To what extent does improved vehicle fleet management result in improved health worker productivity?
3. To what extent does improved health worker productivity from improved vehicle fleet management result in equitable coverage of critical health interventions?

Ethics approval

1. University of Zambia Biomedical Research Ethics Committee approved on November 4, 2010
2. Stanford University Research Compliance Office approved on August 31, 2010

Study design

Randomised controlled study

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Quality of life

Patient information sheet

Condition

Health delivery by Zambia Ministry of Health's Environmental Health Technicians (EHTs)

Intervention

Eight districts in the Southern Province of Zambia are included in the study. Districts were randomly assigned as follows: four districts are experimental groups that are receiving an intervention (i.e., receive the Riders program), and four districts are control groups. The Riders intervention in the four experimental districts will be the "Transport Asset Management (TAM)" program. These districts receive vehicles and motorcycles as well as maintenance and repair services. Data collection officers interview 120 Environmental Health Technicians (EHTs) in the four experimental districts and four control districts each week. Data collection officers also collect raw data for analysis including health treatment tally sheets, vehicle logs, immunization records, and more from health centers and district health offices.

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

Environmental Health Technician productivity and health intervention coverage rates

Secondary outcome measures

No secondary outcome measures

Overall trial start date

01/08/2011

Overall trial end date

01/08/2013

Reason abandoned

Eligibility

Participant inclusion criteria

1. Environmental Health Technicians (EHTs) employed by Zambia's Ministry of Health. EHTs are assigned to both district health offices and urban and rural health centers
2. District health office transport managers employed by Zambia's Ministry of Health

This study does not directly involve human subjects/participants. Our target population is motorcycles and ambulances used for health delivery. We will not be measuring anything on human beings. The only (potential) human subjects issue is that we are collecting health worker activity sheets which include information about what health interventions have been delivered.

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

120 Environmental Health Technicians (EHTs) and eight transport managers. In addition, we are tracking the daily movement of 100 Ministry of Health vehicles and motorcycles utilizing GPS technology

Participant exclusion criteria

Does not meet inclusion criteria

Recruitment start date

01/08/2011

Recruitment end date

01/08/2013

Locations

Countries of recruitment

Zambia

Trial participating centre

Stanford University
Stanford
94305
United States of America

Sponsor information

Organisation

Riders for Health (UK)

Sponsor details

The Drummonds
Spring Hill
Pitsford
Northampton
NN6 9AA
United Kingdom

Sponsor type

Charity

Website

Funders

Funder type

Charity

Funder name

Riders for Health (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes